Plastic Surgery Center, P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

S087010 Issued in KS

Legal business name

PLASTIC SURGERY CENTER, P.A.

Practice address

1861 N Webb Rd
Wichita, KS 67206-3413

Phone

(316) 688-7500

Fax

(316) 688-7543

NPI assigned

Oct 25, 2006

Last updated

Mar 24, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amy Sprole, M.D.NPI 1326119066

Title

President

Phone

(316) 688-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Plastic Surgery Center, P.a.

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1356447825

  8527094754

  Same PAC ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy M Sprole, M.D.

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1326119066
  Medicare reassignment Care Compare group Authorized official
• Jennifer Ann Cameron, M.D.

  • Plastic Surgery Physician
  • Saint Paul, MN
  • NPI 1013151430

  KS

  Medicare reassignment NPD
• Deanna J Parsons, PA

  • Physician Assistant
  • Wichita, KS
  • NPI 1376511675
  Medicare reassignment
• Mellissa D Simko, P.A.

  • Physician Assistant
  • Wellington, KS
  • NPI 1821076514
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1639253370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-688-7500",
            "fax_number": "316-688-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-688-7500",
            "fax_number": "316-688-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "SPROLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-688-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "S087010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalan Pittz, MD
• Jamie Lynn Pitzer
• Lauren Anne Pizinger, APRN
• Planned Parenthood of Kansas & Mid-Missouri
• Plastic Surgery Center, P.a.
• Platinum Care Homes LLC
• Brittni Plato
• Gregory Neil Platt, LAC
• Bailee Pleasants
• Silver L Pleass, LCAC

• Plastic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.